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Criteria used to exclude ineligible papers were: studies published in language other than English, comments, personal opinions, old data, not relevant to the topic, no quantifiable evidence, non-relevant population and outcome

Introduction Hearing loss and vestibular dysfunction are some of the most prevalent and debilitating disorders due to social isolation resulting from sensory deprivation

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Of most importance are the stimulation of beta cell function, reduction of glucagon secretion and delay in gastric emptying, which together lower fasting and postprandial glucose and HbA 1c levels

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